| NPI | 1497036669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY LCSW-763) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY 411) |
| 1041C0700X Social Worker, Clinical (Licence: WY LCSW - 763) | |
| 104100000X Social Worker (Licence: WY LCSW-763) | |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2012-01-23 |